Hearing impaired men and women tend to have an increased probability of drug abuse issues because of the impairment, and rehab services should be available which cater to their needs. People who are hearing impaired can seem to be alone, lack motivation, and goalless because of the impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional problems that accompany having this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired is usually a challenge, because these individuals may attempt to hide their problem due to social stigmas attached to abusing drugs. Having said that, drug treatment counselors who provide treatment to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions so that rehab clients can know that they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services might be more tailored for everybody to ensure their own challenges can be handled in treatment.